Cargando…

Minimally Invasive Treatment of Mason Type II Radial Head Fracture by Intramedullary Pinning

OBJECTIVE: To evaluate the outcome of Mason type II radial head fractures treated by intramedullary pinning. METHODS: From May 2013 to March 2017, we respectively reviewed 25 patients affected by Mason type II radial head fractures. A total of 12 patients who met criteria for inclusion and exclusion...

Descripción completa

Detalles Bibliográficos
Autores principales: Gao, Xu, Yin, Hai‐lei, Zhou, Guang‐jie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6819192/
https://www.ncbi.nlm.nih.gov/pubmed/31532071
http://dx.doi.org/10.1111/os.12540
_version_ 1783463688515092480
author Gao, Xu
Yin, Hai‐lei
Zhou, Guang‐jie
author_facet Gao, Xu
Yin, Hai‐lei
Zhou, Guang‐jie
author_sort Gao, Xu
collection PubMed
description OBJECTIVE: To evaluate the outcome of Mason type II radial head fractures treated by intramedullary pinning. METHODS: From May 2013 to March 2017, we respectively reviewed 25 patients affected by Mason type II radial head fractures. A total of 12 patients who met criteria for inclusion and exclusion were collected and analyzed. They were all isolated displaced partial articular radial head fractures and treated with intramedullary pinning using titanium elastic nails (TEN). The patients comprised eight men and four women with the mean age of 40 years (range, 21–58 years). The clinical evaluation included the range of motion (ROM) in the elbow, the shortened disabilities of the arm, shoulder and hand questionnaire (QuickDASH), the visual analogue scale (VAS) for pain rating, and the Mayo Elbow Performance Score (MEPS). Follow‐up radiographs to monitor related complications were evaluated as well. RESULTS: All patients were followed‐up with a mean of 21.8 months (range, 12–28 months). The average range of elbow flexion‐extension was barely unaffected in the injured side when compared to the uninjured side (139.08° ± 3.14° vs 140.16° ± 3.01°, P = 0.398) as were pronation of the forearm (86.50° ± 2.75° vs 87.83° ± 2.12°, P = 0.197) and supination of the forearm (87.41° ± 2.53° vs 88.17° ± 1.95°, P = 0.425). The MEPS was 93.75 ± 5.28 points (range, 85–100), the QuickDASH revealed good to excellent results with 2.33 ± 4.56 points (range, 0–14), and the VAS for pain was 0.33 ± 0.78 (range, 0–2). Only two patients had a minor complication with constant affection of the superficial branch of radial nerve. CONCLUSION: Intramedullary pinning technique in the treatment of Mason type II radial head fractures is minimally traumatic and effective and represents good to excellent results in adults.
format Online
Article
Text
id pubmed-6819192
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher John Wiley & Sons Australia, Ltd
record_format MEDLINE/PubMed
spelling pubmed-68191922019-11-04 Minimally Invasive Treatment of Mason Type II Radial Head Fracture by Intramedullary Pinning Gao, Xu Yin, Hai‐lei Zhou, Guang‐jie Orthop Surg Clinical Articles OBJECTIVE: To evaluate the outcome of Mason type II radial head fractures treated by intramedullary pinning. METHODS: From May 2013 to March 2017, we respectively reviewed 25 patients affected by Mason type II radial head fractures. A total of 12 patients who met criteria for inclusion and exclusion were collected and analyzed. They were all isolated displaced partial articular radial head fractures and treated with intramedullary pinning using titanium elastic nails (TEN). The patients comprised eight men and four women with the mean age of 40 years (range, 21–58 years). The clinical evaluation included the range of motion (ROM) in the elbow, the shortened disabilities of the arm, shoulder and hand questionnaire (QuickDASH), the visual analogue scale (VAS) for pain rating, and the Mayo Elbow Performance Score (MEPS). Follow‐up radiographs to monitor related complications were evaluated as well. RESULTS: All patients were followed‐up with a mean of 21.8 months (range, 12–28 months). The average range of elbow flexion‐extension was barely unaffected in the injured side when compared to the uninjured side (139.08° ± 3.14° vs 140.16° ± 3.01°, P = 0.398) as were pronation of the forearm (86.50° ± 2.75° vs 87.83° ± 2.12°, P = 0.197) and supination of the forearm (87.41° ± 2.53° vs 88.17° ± 1.95°, P = 0.425). The MEPS was 93.75 ± 5.28 points (range, 85–100), the QuickDASH revealed good to excellent results with 2.33 ± 4.56 points (range, 0–14), and the VAS for pain was 0.33 ± 0.78 (range, 0–2). Only two patients had a minor complication with constant affection of the superficial branch of radial nerve. CONCLUSION: Intramedullary pinning technique in the treatment of Mason type II radial head fractures is minimally traumatic and effective and represents good to excellent results in adults. John Wiley & Sons Australia, Ltd 2019-09-18 /pmc/articles/PMC6819192/ /pubmed/31532071 http://dx.doi.org/10.1111/os.12540 Text en © 2019 The Authors. Orthopaedic Surgery published by Chinese Orthopaedic Association and John Wiley & Sons Australia, Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Clinical Articles
Gao, Xu
Yin, Hai‐lei
Zhou, Guang‐jie
Minimally Invasive Treatment of Mason Type II Radial Head Fracture by Intramedullary Pinning
title Minimally Invasive Treatment of Mason Type II Radial Head Fracture by Intramedullary Pinning
title_full Minimally Invasive Treatment of Mason Type II Radial Head Fracture by Intramedullary Pinning
title_fullStr Minimally Invasive Treatment of Mason Type II Radial Head Fracture by Intramedullary Pinning
title_full_unstemmed Minimally Invasive Treatment of Mason Type II Radial Head Fracture by Intramedullary Pinning
title_short Minimally Invasive Treatment of Mason Type II Radial Head Fracture by Intramedullary Pinning
title_sort minimally invasive treatment of mason type ii radial head fracture by intramedullary pinning
topic Clinical Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6819192/
https://www.ncbi.nlm.nih.gov/pubmed/31532071
http://dx.doi.org/10.1111/os.12540
work_keys_str_mv AT gaoxu minimallyinvasivetreatmentofmasontypeiiradialheadfracturebyintramedullarypinning
AT yinhailei minimallyinvasivetreatmentofmasontypeiiradialheadfracturebyintramedullarypinning
AT zhouguangjie minimallyinvasivetreatmentofmasontypeiiradialheadfracturebyintramedullarypinning